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Associations between breastfeeding and central adiposity 7-15 years postpartum: aata from the POUCHmoms study

Snyder, Gabrielle (2015) Associations between breastfeeding and central adiposity 7-15 years postpartum: aata from the POUCHmoms study. Master Essay, University of Pittsburgh.

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Abstract

Background: There is conflicting evidence regarding the relationship between breastfeeding (BF) and maternal waist circumference in the years after pregnancy. Abdominal obesity has been shown to be an important indicator of cardiometabolic dysfunction in later life. Objective: We assessed postpartum waist circumference (WC) related to BF duration in a prospective cohort, 7-15 years postpartum. Methods: This is a longitudinal analysis of 676 women enrolled in the Pregnancy Outcomes and Community Health (POUCH) pregnancy cohort and in the follow-up POUCHmoms study. History of BF duration for the POUCH pregnancy and all other pregnancies was self-reported at follow-up. Results: Following the POUCH pregnancy, 61.8% of women in this study cohort breastfed at least once. Compared to women who did not breastfeed at all, women who breastfed for at least 6 months had smaller WC (-3.55 cm, 95% CI: (-6.03, - 1.06), p = 0.0052) adjusted for age, pre-pregnancy BMI, POUCH pregnancy gestational weight gain, POUCH pregnancy preterm birth, POUCH pregnancy gestational diabetes, parity, smoking, educational attainment, Medicaid status, race, diet quality score, and physical activity. BF for lesser durations had no significant impact on central adiposity at follow-up. Conclusions: Results indicate that breastfeeding for greater than 6 months is associated with smaller central adiposity measured up to one decade after pregnancy. These findings may indicate the public health importance of BF promotion for long-term maternal health. Future analyses of BF duration for all pregnancies as a cumulative or per-pregnancy variable will improve the understanding the effects of multiple births, BF, socio-economic status, diet, and physical activity.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Snyder, Gabriellegas54@pitt.eduGAS54
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBertolet, Marniebertoletm@edc.pitt.eduMHB12UNSPECIFIED
Committee Co-ChairCatov, Janetcatovjm@mail.magee.eduUNSPECIFIEDUNSPECIFIED
Date: 21 April 2015
Date Type: Submission
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 05 Nov 2015 14:34
Last Modified: 01 Jul 2019 12:56
URI: http://d-scholarship.pitt.edu/id/eprint/25000

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